Withdraw From the University Form

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Policies and Procedures

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Unofficial Withdrawal
Withdrawal from the University

Withdraw From the University Form

Review withdrawal policies and procedures before completing this form.

Username: Example: w1234567

Password:

* Required fields

First Name*:

Last Name*:

Middle or Maiden:

Birth Date*:

mm/dd/yy

Contact Information

Your Preferred Email*:

Number and Street:

City:

State:

Zip Code:

Daytime Phone*:

Year In School*:

UG Special

Grad

Term you are withdrawing from*:

Fall

J-term

Spring

Summer

Circumstances for withdrawal

Transferring

Military Deployment

Medical Emergency

For medical emergency related withdrawals, also contact Assistant Director-Student Rights and Responsibilities thomas.pedersen@uwrf.edu or call 715-425-4555.

Other Reason:

General comments about your withdrawal:

Verification

I am a student athlete and/or have played Division III athletics* :

Yes

By submitting this form you have read and understand the policies and procedures for withdrawal* :

I agree

NOTE: Allow up to 10 seconds after submission for "Thank you" page to appear.
Please DO NOT log in again.

Registrar's Office
105 North Hall

Phone: 715-425-3342
Fax: 715-425-3352
e-mail: registrar@uwrf.edu

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University of Wisconsin-River Falls
410 S. 3rd Street, River Falls WI 54022 USA
Campus Information 715-425-3911